Systemic Examination Signs Quiz

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Questions and Answers

Where does the abdominal pain localize depend on?

  • The duration of the pain
  • The type of food eaten
  • The embryologic origin of the organ (correct)
  • The patient's age

Which condition accounts for 28% of cases of acute abdominal pain?

  • Acute appendicitis (correct)
  • Small Bowel Obstruction
  • Pancreatitis
  • Acute cholecystitis

What organ region does hindgut pain typically localize to?

  • Umbilicus
  • Hypogastric region (correct)
  • Epigastrium
  • Chest area

What type of pain is localized to the dermatome above the site of the stimulus?

<p>Parietal pain (C)</p> Signup and view all the answers

What is the percentage of cases accounted for by Non-Specific Acute Abdominal Pain?

<p>34% (C)</p> Signup and view all the answers

Which condition accounts for 3% of cases of acute abdominal pain?

<p>Perforated peptic ulcer (A)</p> Signup and view all the answers

What is indicated by Cullen's sign?

<p>Retroperitoneal haemorrhage (A)</p> Signup and view all the answers

Which sign is characterized by severe left shoulder pain?

<p>Kehr's sign (A)</p> Signup and view all the answers

Which sign involves hyperextension of the right hip causing abdominal pain?

<p>Iliopsoas sign (A)</p> Signup and view all the answers

What condition is associated with Grey-Turner's sign?

<p>Retroperitoneal hemorrhage (D)</p> Signup and view all the answers

What condition presents with local Right Iliac Fossa tenderness?

<p>Acute appendicitis (A)</p> Signup and view all the answers

Which medical condition is characterized by an abrupt interruption of inspiration on palpation of the right upper quadrant?

<p>Acute cholecystitis (C)</p> Signup and view all the answers

What would be the best initial management for a 35-year-old male with acute abdominal pain, distension, and vomiting, along with tachycardia and abdominal rigidity?

<p>IV fluids → X-ray abdomen (C)</p> Signup and view all the answers

What is the best initial investigation for a 40-year-old female presenting with severe pain in RUQ with radiation to the back and vomiting, along with mild tenderness in RUQ?

<p>USG examination (C)</p> Signup and view all the answers

In a 65-year-old male with thinning of urinary stream, intermittency, lower abdominal pain, and suprapubic distension, what is likely to be found on per rectal examination?

<p>BPH (C)</p> Signup and view all the answers

Following right hemicolectomy for a cecal mass, a patient develops abdominal distension, bilious vomiting, and multiple air fluid levels on X-ray abdomen on postoperative day 7. What is the most probable cause?

<p>Paralytic ileus (C)</p> Signup and view all the answers

Which condition is characterized by rigidity in the abdomen, indicating tense and board-like abdominal muscles?

<p>Peritonitis (A)</p> Signup and view all the answers

Which of the following investigations would NOT be useful in assessing a patient post right hemicolectomy with symptoms of abdominal distension and bilious vomiting?

<p>Colonoscopy (A)</p> Signup and view all the answers

What is the likely cause of suprapubic pain associated with acute urinary retention?

<p>PID (Pelvic Inflammatory Disease) (A)</p> Signup and view all the answers

Which condition is typically associated with epigastric pain and a history of previous episodes of Acute Pancreatitis?

<p>Duodenal/gastric ulcer (B)</p> Signup and view all the answers

What symptom may be present in patients with Mesenteric Adenitis that can help differentiate it from Acute Appendicitis?

<p>Genitourinary symptoms (C)</p> Signup and view all the answers

In a thin or malnourished patient with visible peristalsis during palpation, which condition should be considered?

<p>Small Bowel Obstruction (C)</p> Signup and view all the answers

Which condition can potentially cause urinary symptoms such as ureteric colic and UTIs?

<p>Meckel’s diverticulum (A)</p> Signup and view all the answers

In a 45-year-old male experiencing acute pain in the epigastrium radiating to the back after an alcohol binge and severe vomiting, which statement is true regarding serum lipase and serum amylase?

<p>Serum lipase is more helpful than serum amylase in making a correct diagnosis after 5 days. (D)</p> Signup and view all the answers

In acute cholecystitis, pain in the right shoulder is classified as:

<p>Referred pain (C)</p> Signup and view all the answers

Regarding duodenal ulcer perforation, which statement is accurate about erect chest X-ray and detecting air under the diaphragm?

<p>Erect X-ray chest is not helpful in detecting air under the diaphragm. (C)</p> Signup and view all the answers

Which of the following statements about pain characteristics in acute cholecystitis and acute pancreatitis is accurate?

<p>Pain in acute cholecystitis typically radiates to the back. (A)</p> Signup and view all the answers

Based on the X-ray abdomen provided, what condition is most likely indicated?

<p>Acute small intestinal obstruction (A)</p> Signup and view all the answers

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